Patient Access Associate Specialist

Ensemble Health Partners • Lewes, DE

8d • Onsite

About The Position

The Patient Access Specialist performs admission and pre-registration duties for patients receiving hospital services. The role supports the organization’s mission, policies, processes, and regulatory compliance requirements while providing compassionate customer service. Responsibilities include gathering patient and insurance information, completing eligibility and medical-necessity checks, collecting payments, explaining and distributing forms, processing physician orders, and ensuring patient accounts and documentation are accurate. This is an onsite position in Lewes, Delaware, with stated pay of $17.00–$18.15 per hour based on experience. The posting describes it as an entry-level career opportunity.

Requirements

• High school diploma or GED.
• Obtain CRCR (Certified Revenue Cycle Representative) certification within six months of hire; the certification is company-paid.
• Must be able to work onsite in Lewes, Delaware.
• Must reside and be authorized to work in the United States.

Nice To Haves

• One or more years of customer service experience.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Responsibilities

• Assign accurate medical record numbers (MRNs), complete medical-necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while providing customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
• Meet assigned point-of-service goals.
• Pre-register patient accounts before visits, including inbound and outbound calls to obtain demographic, insurance, and other information; explain patient financial liabilities; and collect point-of-service payments and past-due balances, including discussing payment plan options.
• Explain general consent-for-treatment forms to patients, guarantors, or legal guardians and obtain required signatures and the witness’s name.
• Explain and distribute patient education and required documents, including Medicare and Tricare notices, observation forms, the MOON form, consent forms, and forms implemented for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
• Screen medical necessity using ABN software, inform Medicare patients about potential non-payment for tests, and distribute Advance Beneficiary Notices as appropriate.
• Distribute and document other designated forms and pamphlets.
• Use quality-auditing and reporting systems to identify and correct account issues, including accounts for other employees, departments, and facilities.
• Audit accounts, ensure forms are accurate and completed on time, and provide statistical data to Patient Access leadership.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid certifications and professional development.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement opportunities.
• Shift differential for select shifts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED